Detailed clinical signs

1. CLINICAL
SIGNS OF
ARRYTHMIA
ROHIT BACHWALA
512

2. Arrhythmias may not cause any
signs or symptoms. In fact, your
doctor might find you have an
arrhythmia before you do, during
a routine examination. Noticeable
signs and symptoms don't
necessarily mean you have a
serious problem, however.

3.  Noticeable arrhythmia symptoms may include:
 A fluttering in your chest
 A racing heartbeat (tachycardia)
 A slow heartbeat (bradycardia)
 Chest pain
 Shortness of breath
 Lightheadedness or dizziness
 Sweating
 Fainting (syncope) or near fainting

4.  Palpitations (rapid heartbeat or a pounding sensation in
the chest) A "fluttering" or tremor-like feeling in
the chest. Shortness of breath. Anxiety.

5.  Tachycardia = Too fast
 A heart rate of more than 100 beats per minute (BPM) in
adults is called tachycardia. What's too fast for you may
depend on your age and physical condition.

6. Slow Heartbeat
Slow heartbeat (heart rate), called bradycardia, is
an arrhythmia, or disorder of the heart’s rhythm.
Each day, a normal heart beats about 100,000
times, at a rate anywhere from 60 to 100 times a
minute. Changes in heart rate caused by activity,
diet, medications, and age are normal and
common.

7. CHEST PAIN
 Chest pain. The first thing you may think of
is heart attack. Certainly chest pain is not
something to ignore. But you should know
that it has many possible causes.Chest pain
may also be caused by problems in
your lungs, esophagus, muscles, ribs, or
nerves, for example. Some of these
conditions are serious and life threatening

8. • . Depending on its cause,
chest pain may be:
• Sharp
• Dull
• Burning
• Aching
• Stabbing
• A tight, squeezing, or
crushing sensation

9. Blood and Oxygen(Shortness
of Breath)
• As the red blood cell moves through the
body, it delivers this bound oxygen to all
of the body tissues.
• Normal heartbeats ensure that blood
moves through the body smoothly so that
the blood can efficiently deliver oxygen to
the tissues.
• When the heartbeat is abnormal, blood
moves through the body erratically, and
oxygen cannot be delivered to the tissues
correctly. This causes the tissues to
become starved of oxygen and leads to
shortness of breath.

10. DIZZINESS OR LIGHTHEADNESS

12. ECG CHANGES IN ARRHYTHMIA

15. Sinus arrhythmia:
•Normal sinus P waves (upright in leads I and II) with a constant morphology —
albeit with an appearance suggestive of left atrial enlargement.
•P-R interval is constant (no evidence of AV block).
•The P-P interval varies widely from 1.04 seconds (heart rate ~57 bpm) down to
0.60 seconds (heart rate ~100 bpm); a variability of over 400ms

16. Diagnosis this ecg??

17. Ans:SINUS TACHYCARDIA
Rhythm Regular
Rate Fast (> 100 bpm)
P Wave Normal, may merge with T wave at very fast rates
PR
Interval
Normal (0.12-0.20 sec)
QRS Normal (0.06-0.10 sec)
Notes QT interval shortens with increasing heart rate

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